SEP-000843-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000843-2016 Date Issued: Tuesday, January 31,2017
This is to certify that work requested to be done as shown by Permit Number SEP-000843-2016
has been completed.
Tax Map Number: 240.-1-56
Location: 2156 RIDGE RD
Owner: 2156 Corp
Applicant: 2156 Corp
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN O+F�QUEENSBURYY/
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the
Director of Building&.Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
QL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: SEP-000843-2016
Tax Map No: 240.4-56
Permission is hereby granted to: 2156 Corp
For property located at: 2156 RIDGE RD
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Tyne of Construction
Owner Name: 2156 Corp Septic Disposal-Residential $0.00
Owner Address: 12 Hampstead CT Total Value $0.00
Clifton Park,NY 12065
Contractor or Builder's Name/Address Electrical Inspection Agency
Rick McGuire
Plans&Specifications
Residential Septic Alteration
$40.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Thursday,December 14,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Wednesday,December 14,2016
SIGNED BY: for the Town of Queensbury.
Di cD &V* ng ode nt
SEPTIC,DISPOSAL PERMIT
,I) I ii li I 240.-1 -56 SEP 843-2016
UEC 13 2016 � 2156 Corp (Mark McLeod)YI r
TAX MAP I6' U 10 2156 Ridge Road
Res. Septic Alteration
LOCATIONOFINSTALLATION
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APPLICANT 2'J ye/ /��,��CPHH�oNE/E-MAIL I ('•w.
ADDRESS ��{ I/ `' L�Ll/7�-C/t e Al. ✓I.�`"�0 JZUO -r
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INSTALLERIBUILDER: FWF 1•r�LU[G LJ.f 1 Y Vyrt� PHONE/E-MAIL-i S /�Y '1 /✓`:�
ADDRESS: �/��y�
OWNER Z-1 ,wl rim PHONE/E-MAIL 68 36S-5&Z3
Address (2 tta�A�l>7cxt' i,T ���I�.[I�fa'(/D!✓Nk r l� ZaQS ��
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: /VI(TF'Y� lYL __ PHONE Q_ 0�
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older I10 ? Q Garbage grinder installed _Y _N
1981-1991 fSpa gr Hot*b installed _Y
1992-Present-
PARCEL INFORMATION ,�.....
Topography _flat rolling _Steep slope _%slope
Soil Nature _SandLoam Clay Other
Groundwater At what depth.. f7
Bedrock/Impervious Material At what depth?
Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is .)
Percolation Test Rate: per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size IPPO gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub)
System Type Absorption field with#2 stone Joel Ipn th ft.; Each trench x
Seepage Pit with#3 stone How man%r ;size
Alternative System Bed of other type?
Holding Tank System Total required capacity? Tank size T #of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer
allow systems to be covered until such time as an As-Built plan is received 4 approved. The installed system must match the septic system
layout on file-no exceptions.
DECLARATION: Any permit or approval granted which is based upon cr is granted in reliance upon any materi�il,reIpresentation or
failure to make a material fact or circumstance know by or on behalf of an applicant, shall be void. I have read the-regulations and
agree to abide by them d a113. m,nt of the Town of Queensbury Sanitary Sewage Disp0 r finance.
Print Name: ��/ Date:
Signature: Date: /2�r 0111Z0,
Town of Queensbury Building&Codes Septic Disposal Permit July 2014
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FI P TEST PIT
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0-4" OP S0 p
4 T IL -
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LANDS NOW OR FORMERLY OF Q 4-20" LOAMY MEDIUM FINE SAND W/ GRAVEL (FILL)
® E W/SILT
cn
RAYMOND & NORMA jR,I OS 20-32" LOAMY MEDIUM FINE :SAN :.
i:.
BOOK 1304 OF DEEDS AT PAGE 14
\ i Ch MOTTLING ® 20", NO GROUNDWATER OBSERVED, BEDROCK @ 32"
2 2 PERCOLATION 'RATE' - 1" IN 12 MINUTES, 33 SECONDS ro Q
® ® QO
Q y �z TEST PIT BY NAGE ENGINEERING 11/10/16 p
' ® Q PERCOLATION TEST :BY NACE ENGINEERING IN A' 12 INCH DEEP HOLE
� AND A TEST DEPTH OF 6" ON 11/10/16 Z
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SEPTIC SYSTEM DESIGNa �,ra,'
NEW 1 - 1�2°' HDPE �atF �a �5�},
FORCE MAIN L 0 T AREA
\ � DRAINAGE DITCH -
F� CONSTRUCTED IN NATIVE , — . 0 0 ± A c.
SOIL ` ^ DESIGN FLOW - 4 BEDROOM HOUSE
NEW 1,250 GAL.
\ , ,4 BEDROOMS '@ 110 GAL./DAY/BDRM = 440 GPD - - '
SEPTIC TANK �
NEW PUMP s •(�
STATION PEAK OF CROWN N a
(1,000 GAL. SEPTIC TANK) - ; ,� ✓s', � r. �u�
..® ELEV. + 2.5 FT Q {
F� IdOODD -� SEPTIC TANK USE 1250 GAL TANK
L c k2 20 FT WIDE X 40 FT LONG I �I �\ I J !
TER. '� RAISED ABSORPTION BED ItcA
A (}
\ BARN 4 - 35 LF LATERALs C �- F T, i ABSORPTION FIELD TEST PIT SHOWS MOTTLING AT 20
\ 6 ` j ` VE SO & BURIED FILL COMPLETELY WITHIN
NEW DISTRIBUTION BOX
/ r-,
O �• CONTRACTOR SHALL RENO TOP IL RIE
(MIN. 5 OUTLETS) ABSORPTION FIELD LIMITS
FI P STORY / \ / d' - PERCOLATION RATE OF FILL MATERIAL SHALL BE BETWEEN 2 MIN/INCH -
HOUSE STONE / ' 1 N 830 41 59 ' W r� MINIMUM AND 3 MIN/IN MAXIMUM.
\ DRIVE STANDARD RAISED' ABSORPTION BED SYSTEM PROPOSED. ,
40. 10'
SDOH APPLICATION RATE 734 S.F. OF ABSORPTION
AT NY AREA REQUIRED. _ d'
�� DE BY 40 FT LONG ABSORPTION 4 35 FT LONG
® USE 20 FT WI TION :BED WITH co
ROOF OVER - .-+
PARCEL SUBJECT TO :AN EASEMENT & RIGHT OF WAY 40 LATERALS (INTERCONNECT ENDS) 800 SF TOTAL ABSORPTIVE AREA
/' W
C. AD
CO PAD
FEET IN WIDTH ALONG AN EXISTING STONE DRIVEWAY AND
50% REPLACEMENT :HAS BEEN PROVIDED 'q'
(N> BEYOND IN AN EASTERLY DIRECTION, FOR ACCESS &
UTILITY SERVICE, FOR THE BENEFIT OF THE PARCEL TO
S 81 54 5O THE EAST. THE SAID EASEMENT STATED IN BOOK 3675 OF � ' rI �;IL
z �
O \ S � DEEDS AT PAGE 277 "AND IN BOOK 3344 OF DEEDS AT '!lj` -
® s 20. 47 / ` W z
PAGE 120. THE EXACT LOCATION IS NOT DESCRIBED IN V _
\ FIR " THE EASTERLY DIRECTION & SUBJECT TO BEING LOCATED.
FIR
\ / 3 41 19 W } a
/ SIR N 2
\ STONE o
DRIVE FIR(4' HIGH.
41 . 35 SCIR
SCIR \ -
/
319 . 031 SLOP
- 0 3
:J . AWA R D }
_® Y F ,. B
ED TO DRAIN
---
a-- --- � � 9 '� "-_;� , '�. - SWALE AT,UPHILL SIDE M `E 3
FROM �
OF BED TO RUNOFF "
f-- _S 5° 38' 25" W .a _ �. S 8 6 3 O 5 4 1 DRAIN RU 7111-11= _ _
M, III III 'III:
_ EARTH ill-III-III 6" TO 12" BACKFILL EARTH II-III-I' w
..`. SCIR l_I _ x
28. 47 FILL -
s FILL „ ILTER FABRIC b k
OR .GEOTEXTILE h-� o "
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o X
V
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4" PERFORATED,
— BENT.- •.: , ...,.: b
FIR €
LATERAL
�. •. . .:. -', �O 3/4",,TO '1 .1 2 W "�
, , HED STONE ,..,,
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2 6
Cd
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9 �s a
P.
TYP.
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51 ° 06 16 _ W a .
S F:i.+ , 24" MIN_'
O \ , MAXIMUM — : . "
GROUNDWATER
REMOVE +/=: 20'' OF_FILL'. MATERIAL
\\ 42. 6 5 ELEVATION f PLACE 48 OF NEW CLEAN FILL MATERIAL
PERCOLATION RATE, OF,NEW:FILL`SHALL BE
- .
LANDS NOW OR FORMERLY OF
` PRIOR OINN_ISTALNAT ON :OFGINEER HABSORPTION BED ALL 7PERFORM PERCOLATION
CHRISTOPHER LEE' COLLINS
SO 'SECT
\ � :' 'ABSORPTION , BED-: ' ION . '
BOOK :.3410 OF DEEDS ' AT PAGE 36 -I
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RECOMMEND ALL ACCESS ELECTRICAL h
& CLEANOUT OPENINGS
/ PANEL
CONCRETE OR STONE-
APPROXIMATE E RAISED TO 6" BELOW CONTROL A ;`:'' '
B R FINISHED MARKER ABOVE ALL -$ �+ "�
::
FINISH GRADE " FINISH .GRADE. ,MOUNTED ON A' : - •
ACCESS HATCH 4 X 4 WOOD POST, GRADE BURRIED COVERS s, . .
RECOMMENDED. M-1
t. OR LOCATED INSIDEOMMENDE
y; RESIDENCE
Pm Q
L BAFFLE E -
IN ET AFF 12" MIN. �OVE OVER
R
ff9 ,
ALL STRUCTURES
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4 PVC TO PUMPSTA ``TIO 1 �.6X
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LIQUID LEVEL LeNBl�E�Ld
MIN. SLOPE
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4"
rr
PER a e`'
R
FOOT
n s
o ALL OUTLET INVERTS
MIN. SLOPE a ;G
SUBMERSIBLE 1� �l�vv��1 .
1/8' P TO BE SET AT x
,
i
� PER FOOT ,
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z
4"'PVC AME
PUMP WEEP HOLE DRAIN EXACTLY THE S �'� a_[ �1 _ W ,�'
ELEVATION.
: u
1,250 GALLON SEPTIC TANK - ' , A GR '
BY FORT MILLER OR N,' GRAVEL
PE
ALARM .ON . E® —1/2" ¢' c r
EQUAL 1FORCE-MAIN
Q INLET & OUTLET ; :-
DISTRIBUTION BOX
BAFFLES ,
PUMP ON SLOPE TO DRAIN .:. ;..� 41
INSTALLATION OF DISPOSAL FIELDS 2 DIA. PIPE
— ACK TO P STATION
B PUM ST N.T.S. _ :,Ea �.::� ,, OT PLAN
0
SEPTIC'pL N
a x 1. CONSTRUCTION SHALL BE if S SHOWN ON THIS DRAWING, I :._ '; ,' r;"` ;,', • ,'; HAVE:
Q
W?a r;. . N. CHECK VAI;V - >.-: dw^r,;; ..a , .SN {�F�;{785E
AND SHALL BE IN ACCORDANCE WITH THE .N.Y.S. PUMPS OF , z�r..t � 0 ALL" 'OBJE o
UCH'A '�I?UES ill : CT$
foo DEPARTMENT OF HEAL
INDIVIDUAL HOUSEHOLD"SYSTEMS, AND 1 ivk ' -' $II S, TREES E-'
M Y` N `�—' I ... K OVUN ON TNIs tNCEs,''ETC-
ASTM F481-76 INSTALLA ON OF THERMOPLASTIC PIPE AND
:'. i i. I:, CONCRETE TO BE QQCUMENT,
;. =,r,`,. MEA r�. l I 1 HAVE PERSONALLY
CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
TROWEL FINISHED 6-, -p, ; k t TANGESETFOR7
MINIMUM 2x WIDTH . . .- .. DfACRA
H
ON THIS
MAXIMUM 4x IDTH 2. NO HEAVY EQUIPMENT SH LL BE ALLOWED WITHIN THE LIMITS
1,000 GAL. PRECAST CONCRETE EFFLUENT PUMP a SIG AlAI URE' .. I r
MERCURY FLOAT i r I f OF THE DISPOSAL FIELDS�FTER PIPE INSTALLATION HAS BEGUN.'" .
SEPTIC TANK DA E, .
SWITCH WITH '
FTE 'EXCAVATION 2' WIDE TRENCH TO THE DEPTHS REQUIRED, AS MANUFACTURED BY FORT MILLER
3. AFTER WEIGHT (TYP.) . .
I '
_ 0 00000 OE EACH TRENCH SHOULD BE CLEANED OR EQUIVALENT , " • -
VIDE 3" SAND OR °0CP00 THE WALLS-AND FLOOR a PUMP STATION "
PRO �p � AND RAKED TO ACHIEVE N EVEN SURFACE AND TO LOOSEN � NO LADDER RUNGS =__ :. .s` :", :' -�' - .• •r'..
SEPTIC TANK ( )
PEA GRAVEL UNDER TANK SMEARED SECTIONS OF T ENCH. N.T.S.
N.T.S. N T
4. PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND UNTREATED BUILDING
1. PUMP TO BE EFFLUENT PUMP RATED AT A MINIMUM OF 30 GPM _; -; -•.z I ' ",` .. :::I,: ,
PAPER OR STRAW SHALL BE AS SHOWN, AND CARE SHALL BE ,,° ' '", }•"I;,._.
EXERCISED TO AVOID INCLUSION OF_FINE GRAINED SOILS AND
AT 20, FEET TOTAL DYNAMIC HEAD. PUMP TO BE 1/3 HP GOULDS
SEPTIC TANKS MODEL 3885WE03L'OR EQUAL.
OTHER WASTE MATERIAL I THE STONE AND PIPE.
ff
1. ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK
2. PUMP CONTROL PACKAGE TO BE SUPPLIED BY MANUFACTURER. " : Y,�•�'t .,�.*b .
` `+ `. ' Dente NOVEMBER, 2016
D BE LAID E GRADES AND TO THE , . . � AUDIBLE AND VISIBLE ALARM TO BE ACTIVATED BY ALARM FLOAT �`a .
CONCRETE 5. THE PIPE SHOUL AT THE
STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST R MAINTAINING STRAIGHT
RELATIONSHIPS SHOWN :OIC THIS DRAWING,
AS MANUFACTURED BY FORT MILLER OR EQUIVALENT. 2. DO NOT INSTALL JUNCTION BOX WITHIN PUMP STATION..
CONTINUOUS GRADES WITIUOUT SAGS, HUMPS, SEPARATED JOINTS j SCALE AS NOTED
OTHER UNSUITABLE C NDITIONS. THE PIPE SHALL BE LAID ! � Y(`� " '` ; "'�'•`�' ''.k'F- # '
STRUCTURES TO BE PLACED ON FIRM COMPACT SAND OR OR T R T
2. ALL .. -
GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS WITH THE- HOLES DOWN I ALL CASES. -
� � C � ��1� awl
ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS 6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL
NECESSARY TO ACHIEVE A STABLE FOUNDATION. AND TO .DIVERT SURFACE 3pUNOFF FROM ADJACENT AREAS AWAY
3. SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE EXTRA HEAVY
FROM 'THE .DISPOSAL-FIELD.
CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. 7. REMOVE LEAVES, ROOTS, SLANTS AND ORGANIC DEBRIS. PLOW SURFACE PRIOR § - ,;6 i. ;q�.c'��,:, , --_� --'-�•
TO SPREADING FILL MATE JAL. x —
8. DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION "FIELD AREA.
a -1- SEP 843-2016
ACCORDANCE WITH NEW YORK" STATE j 240. 5b
9. PLACE_.FILL -AND ALLOW TO STABILIZE IN A �
• SHEET 1 ®F x
DEPARTMENT OF HEALTH STANDARDS. " I 2156 Corp (Mark McLeod)
DWG 2156 Ridge Road . -
NO 49403 1
1 Res. Septic Alteration